RxDoctor Payments Data

Miles Birmingham, DO

Orthopaedic Surgery · North Chesterfield, VANPI 1164703922

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $69,900 of the $88,681 with a category attached, or 78.8%. Zimmer Biomet accounts for 90.6% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $37,936 and has fallen 98.3% since, to $646 in 2025. Among orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$88,681in general payments, 2019–2025

Across 166 payments — averaging $534.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Zimmer Biomet$80K
  • Medical Device Business Services, Inc.$6K
  • Stryker$1K
  • Johnson & Johnson$516
  • Globus Medical$76
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$72
  • plus $94 from 2 others
$2,867in research payments, 2019–2025

Across 4 payments — averaging $716.75 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Zimmer Biomet$3K

What the payments were for

  • Consulting fees$69,90079%
  • Travel & lodging$13,42515%
  • Food & beverage$5,2566%
  • Education$1000%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$88,681 in reported general payments places this provider in the 90th percentile of 473 orthopaedic surgery providers in Virginia.

See all orthopaedic surgery providers in Virginia

Medicare billing

Part B allowed, 2024
$347,272
Medicare patients
629
Services billed
7,064

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Diclofenac Sodium867$8,040
Celecoxib86$1,028
Methylprednisolone135$807
Mupirocin76$551
Oxycodone Hcl82$431
Meloxicam137$300
Naproxen38$268
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen20$145
Tramadol Hcl52$140
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim24$137
Clindamycin Hcl16$110
Amoxicillin55$109
Ibuprofen20$108
Ondansetron Hcl13$81
Cyclobenzaprine Hcl21$74

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in North Chesterfield

See the full list for Virginia

Where these figures come from

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